Sean McNamara and Christian Troy are best friends and own a plastic surgery practice together. Their friendship and business is put to the test when Christian, unbeknownest to Sean, accepts drug money to perform surgery on a Columbian drug lord. At home, Sean's relationship with his wife, Julia, begins to strain.

At Sean's insistence, Christian agrees to hire a staff psychologist. However, the male candidate they choose is no more ethical than Christian. As Sean and Julia continue having trouble in their marriage, Sean becomes attracted to psychologist Dr Grace Santiago.

Christian becomes furious when Sean agrees with Grace, now the practice's in-house psychologist, about a woman's desire for extensive surgery in order to look beautiful for her high school reunion. Julia is ordered to attend anger management classes when she is reported to animal services for flushing Annie's pet gerbil down the toilet.

Christian tries to persuade Sean to go into business with a successful pornography production company whose performers need cosmetic surgery. However, the new arrangement causes problems when the practice's more upscale clients feel uneasy. Sean examines a young transsexual, Sofia Lopez, who wants to correct a botched sex-change procedure.

Season 1, Episode 5: Kurt Dempsey Original Air Date—19 August 2003 Sean and Christian have a patient who wants to marry his girlfriend, who is Japanese. However her parents are not approving of any boyfriend who isn't Japanese. Kurt wants the approval of her family so he wants surgery on his eyes to look Japanese. Julia is given a pregnancy fear when she sees the result of her pregnancy test.

When Christians prized possessions were vandalized, he contacted the women he has wronged in the past to find the culprit. In the process, he reconsidered his behavior towards women in general. Meanwhile, Sean was invigorated after an encounter with a patient, Megan O Hara, a chiropractor going through a divorce.

Julia clashes with Sean regarding how to parent Matt, but Matt appreciates his father's support. Meanwhile, Christian attempts to maintain an honest relationship with his girlfriend and Sean visits Megan O'Hara for more than just a chiropractic session.

While driving his friend Henry home, Matt hits pedestrian Cara Fitzgerald. Guilt-stricken, Matt visits the comatose girl in hospital and meets her mother, a strict Christian Scientist who refuses to allow doctors to do any re-constructive surgery on Cara's terribly injured face.

Christian accompanies his girlfriend Kimber to a spa where they encounter rival plastic surgeon Merrill Bobolit. Nurse Liz becomes closely involved with male-to-female sex-change patient Sofia Lopez, while Sean and Megan finally consummate their relationship in a hotel.

An error during surgery causes Christian to lose his confidence immediately before he and Sean must take a surgical test for recertification by the medical board. Christian's situation worsens when he finds out that he has received a difficult assignment for the examination: to perform cosmetic surgery on the cadaver head of a midget.

two gay men beg Christian to petition a social worker to allow medical coverage for their adopted son with a cleft palate, since they cannot receive benefits like legally married parents would. Upset at being forced out of Julia and Sean's family because of their marital difficulties, Christian pities this modern family unit and does the surgery for free and at his own risk

Christian and Sean operate on a South American woman and discover that shea 's being used to carry liquid heroin into the US in her breast implants. Ruthless Colombian drug lord Escobar Gallardo blackmails them into removing the implants and handing them over.

drug lord Escobar Gallardo's demands that Sean and Christian perform free breast implant removal operations on women Escobar uses to smuggle liquid heroin into the United States nearly force McNamara/Troy into financial ruin. But the loss of potential patients to the surgeons' rival, Merrill Bobolit (recurring guest star JOEY SLOTNICK), is especially stinging to Christian